Edmonton Obesity Staging System Prevalence and Association with Weight Loss in a Publicly Funded Referral-Based Obesity ClinicReport as inadecuate




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Journal of Obesity - Volume 2015 2015, Article ID 619734, 7 pages -

Research Article

School of Kinesiology & Health Science, York University, Toronto, ON, Canada M3J 1P3

The Wharton Medical Clinic, Hamilton, ON, Canada L8L 5G8

Department of Medicine, University of Alberta, Edmonton, Canada T6G 2G3

Received 16 January 2015; Revised 26 March 2015; Accepted 30 March 2015

Academic Editor: Bernhard H. Breier

Copyright © 2015 Karissa L. Canning et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. To determine the distribution of EOSS stages and differences in weight loss achieved according to EOSS stage, in patients attending a referral-based publically funded multisite weight management clinic. Subjects-Methods. 5,787 obese patients were categorized using EOSS staging using metabolic risk factors, medication use, and severity of doctor diagnosis of obesity-related physiological, functional, and psychological comorbidities from electronic patient files. Results. The prevalence of EOSS stages 0 no risk factors or comorbidities, 1 mild conditions, 2 moderate conditions, and 3 severe conditions was 1.7%, 10.4%, 84.0%, and 3.9%, respectively. Prehypertension 63%, hypertension 76%, and knee replacement 33% were the most common obesity-related comorbidities for stages 1, 2, and 3, respectively. In the models including age, sex, initial BMI, EOSS stage, and treatment time, lower EOSS stage and longer treatment times were independently associated with greater absolute kg and percentage of weight loss relative to initial body weight . Conclusions. Patients attending this publicly funded, referral-based weight management clinic were more likely to be classified in the higher stages of EOSS. Patients in higher EOSS stages required longer treatment times to achieve similar weight outcomes as those in lower EOSS stages.





Author: Karissa L. Canning, Ruth E. Brown, Sean Wharton, Arya M. Sharma, and Jennifer L. Kuk

Source: https://www.hindawi.com/



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